Metabolic syndrome and poor self-rated health as risk factors for premature employment exit: a longitudinal study among 55 016 middle-aged and older workers from the Lifelines Cohort Study and Biobank.

BACKGROUND: Poor self-rated health (SRH) is a well-established risk factor for premature employment exit through unemployment, work disability, and early retirement. However, it is unclear whether the premature employment exit risk associated with underlying cardio-metabolic health conditions is fully captured by poor SRH. This study examines the metabolic syndrome (MetS), an early-stage risk factor for cardiovascular disease and type two diabetes mellitus, as a risk factor for premature employment exit while controlling for poor SRH. METHODS: We analyzed data from N = 55 016 Dutch workers (40-64 years) from five waves of the Lifelines Cohort Study and Biobank. MetS components were based on physical measures, blood markers, and medication use. SRH and employment states were self-reported. The associations between MetS, SRH, and premature employment exit types were analyzed using competing risk regression analysis. RESULTS: During 4.3 years of follow-up, MetS remained an independent risk factor for unemployment [adjusted subdistribution hazard ratio (SHR): 1.14, 95% CI: 1.03, 1.25] and work disability (adjusted SHR: 1.33, 95% CI: 1.11, 1.58) when adjusted for poor SRH, common chronic diseases related to labor market participation (i.e., cancer, musculoskeletal-, pulmonary-, and psychiatric diseases), and sociodemographic factors. MetS was not associated with early retirement. CONCLUSIONS: Poor SRH did not fully capture the risk for unemployment and work disability associated with MetS. More awareness about MetS as a 'hidden' cardio-metabolic risk factor for premature employment exit is needed among workers, employers, and occupational health professionals. Regular health check-ups including MetS assessment and MetS prevention might help to prolong healthy working lives.

Metabolic syndrome increases the risk for premature employment exit: A longitudinal study among 60 427 middle-aged and older workers from the Lifelines Cohort Study and Biobank.

OBJECTIVES: This study aimed to examine whether (i) metabolic syndrome (MetS) increases the risk for premature employment exit and (ii) a dose-response relationship exists between an increasing number of MetS components and premature employment exit among middle-aged and older workers. METHODS: A sample of N=60 427 Dutch workers (40-64 years old) from the Lifelines Cohort Study and Biobank were examined using data from five measurement waves during a total median follow-up time of 4.2 years. MetS components were based on physical measures, blood markers, and medication use. Premature employment exit types (ie, unemployment, work disability, and early retirement) were determined using questionnaires. MetS and number of MetS components were examined as risk factors for premature employment exit using competing risk regression analysis. RESULTS: MetS significantly increased the risk for work disability [adjusted sub distribution hazard ratio (SHR) 1.78, 95% confidence interval (CI) 1.54-2.05] and unemployment (adjusted SHR 1.16, 95% CI 1.06-1.26). A clear dose-response relationship was found for an increasing number of MetS components and work disability. No associations were found between MetS (components) and early retirement after adjusting for sociodemographic factors. CONCLUSIONS: MetS was identified as a modifiable early-stage cardio-metabolic risk factor especially for work disability and, to a lesser extent, for unemployment. Further, a clear dose-response relationship was found between an increasing number of MetS components and work disability. MetS interventions and prevention might help to prolong working lives. More awareness is needed among employers and occupational health professionals about the premature employment exit risk faced by middle-aged and older workers with MetS.

A Life of Leisure? Investigating the Differential Impact of Retirement on Leisure Activity.

OBJECTIVES: Remaining active in older adulthood is widely endorsed by governments and policy-makers as a way of promoting public health and curbing welfare spending. Despite links between greater leisure activity in older adulthood and better health, cognitive function, and subjective well-being, there is a dearth of research investigating the impact of retirement on leisure activity engagement. Therefore, the primary goal of this study is to address this knowledge gap and investigate the impact of retirement on leisure activity engagement. METHODS: Using panel data from 2 waves of a large-scale longitudinal survey of Dutch older workers (N = 4,927), we investigated the impact of retirement on hours spent engaging in physical, social, and self-development activities. We further investigated the differential impact of retirement on leisure activity in retirement based on various sociodemographic characteristics. RESULTS: Although leisure activity increased across all 3 activity domains, conditional change ordinal least square regression models revealed that retirement resulted in significantly greater increases in activity relative to nonretirees. Additional analyses including interaction terms revealed that the impact of retirement on self-development and social activity differed significantly based on gender and education. DISCUSSION: Our study demonstrates that while time in leisure activity largely increases in response to retirement the nature and magnitude of the impact of retirement on leisure activity is not uniform. From a policy perspective, findings that certain groups, namely men and lower--educated individuals, may be at greater risk of lower activity levels may help guide interventions promoting active aging and retirement.

Retaining retirement-eligible older workers through training participation: The joint implications of individual growth need and organizational climates.

As the workforce ages, organizations are increasing their efforts to retain retirement-eligible workers to avoid human capital shortages and preserve knowledge reservoirs. Nevertheless, the potential factors and underlying mechanisms relating to the retention of retirement-eligible workers have rarely been examined. The current research investigates how retirement-eligible workers may be retained by the organization through human capital development activities. Specifically, we draw upon the motivated choice framework to investigate the joint implications of individual (i.e., individual growth need) and organizational factors (i.e., climate for developing older workers and age-inclusive climate) for retirement-eligible workers' training participation and thereby retention. We tested our hypotheses with two samples in the Netherlands. Study 1 utilized the two-wave, multilevel survey data (2015-2018) from the Netherlands Interdisciplinary Demographic Institute Pension Panel Study (N = 3,200 older workers from 409 organizations). We found that individual growth need and climate for developing older workers had positive associations with training participation, which in turn was positively related to older workers' decision to stay (vs. retire) despite retirement eligibility. In addition, age-inclusive climate amplified the positive relationship between individual growth need and training participation. Study 2 utilized the two-wave Longitudinal Internet studies for the Social Sciences panel data (N = 301 older workers). We replicated result patterns from Study 1 and found that person-organization fit and needs-supplies fit mediated the relationship between training participation and retirement-eligible workers' intention to stay. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Does Phased Retirement Increase Vitality in Older Workers? Findings from a 3­Year Follow­Up Panel Study.

This study investigates the effects of phased retirement on vitality and how this effect differs for workers dealing with work, family and health strain and low levels of baseline vitality. We used two waves of the NIDI Pension Panel Survey, conducted in 2015 and 2018, in the Netherlands. Data from 1,247 older workers, of whom 10% opted for phased retirement, were analyzed. Vitality is assessed in three ways: a composite measure of vitality, and its subcomponents energy and fatigue. Conditional change regression models demonstrated that transitioning into phased retirement improved vitality and energy levels and reduced fatigue. Older workers with low energy levels at baseline showed greater improvements in energy after using phased retirement: this result was not evident for those with low vitality and high fatigue at baseline. Phased retirement improved vitality for workers with high work strain. Vitality for workers with family or health strain was not improved. Interestingly, the positive effects of phased retirement were equally visible among workers with and without adverse health conditions and caregiving responsibilities. Our study provides evidence on the benefits of phased retirement as a method to sustainably ensure healthy aging of not only vulnerable but all older workers.

Motivational Drivers of Temporal Dynamics in Postretirement Work.

OBJECTIVES: Many retirees continue to work in retirement, but the temporal dynamics of this process are not well understood. This article examined the extent to which retirees increase, decrease, and exit their work engagement over time. We hypothesized that different motives for postretirement work-financial, social, personal, and organizational-have differential affects on changes in work extent. METHODS: We analyzed 7 waves of the HEalth, Aging and Retirement Transitions in Sweden study (n = 3,123). Postretirement work was defined as working for pay while receiving pension benefits. Changes in work extent were estimated with multistate models and examined in relation to the 4 motives. RESULTS: Results showed a gradual decrease in work extent following retirement. Financial motives increased the likelihood to take up more work and decreased the likelihood to reduce work hours. Social motives increased the likelihood to reduce and exit work, while personal motives decreased the likelihood for those same pathways. Organizational (demand-driven) motives increased the likelihood to stop working. DISCUSSION: Our findings suggest that financial motives constitute an important driver for taking up more work in retirement, while motives related to the personal meaning of work explain why retirees maintain their level of engagement over time. The social function of work, on the other hand, may be gradually replaced by social activities outside of work, resulting in a gradual disengagement from work. Finally, demand-driven motives appear insufficient to remain in the labor force, highlighting the need to acknowledge the diversity of motives for continuing to work.

Trust and Distrust in Pension Providers in Times of Decline and Reform: Analysis of Survey Data 2004-2021.

Trust in pension providers by participants is essential because pension providers try to fulfill their pension promises in a fundamentally uncertain world. Reforms and crises are therefore the ultimate testing ground for pension trust. In this paper we estimate with repeated cross-sectional survey data how trust and distrust in Dutch pension funds and the government have evolved over the period 2004-2021 and what the impact of financial stability on trust in these two institutions has been. Financial stability of pension funds, measured by their funding ratio, is shown to affect trust positively, but it does not decrease distrust significantly. Based on the estimation results, achieving a situation where the majority of the adult population trusts pension funds is likely to be attained at funding ratios of 115 or higher. Financial stability of government (measured by government debt/GDP ratio) does not affect either trust or distrust levels. Underlying drivers of distrust and trust such as personal characteristics are also notable: self-employed are more prone to distrust pension funds than employees. Women are more than men likely to take a neutral position.

How Do Newly Diagnosed Chronic Health Conditions Affect Older Workers' Vitality and Worries About Functional Ability?

With increasing retirement ages, older workers are working longer while being newly diagnosed with chronic health conditions (CHCs). Our knowledge on how newly diagnosed CHCs influence older workers' vitality and worries is limited. We examine how four newly diagnosed CHCs affect older workers' vitality and worries about physical and mental functional ability. We used data from a Dutch pension panel survey. A sample of 1,894 older workers (60-62 years) was analyzed using conditional change OLS regression models. Having CHCs decreased vitality and increased worries. This effect was worse for older workers newly diagnosed with CHCs. Being newly diagnosed with physically disabling conditions increased worries about physical functioning, while being newly diagnosed with mentally disabling conditions increased worries about mental functioning. These findings aid the identification of vulnerable groups of older workers, thereby informing interventions that could improve quality of life, while promoting healthy aging at work.

Transitioning out of work and metabolic syndrome incidence: a longitudinal study among 13 303 older workers from the Lifelines Cohort Study and Biobank.

BACKGROUND: This study investigates (1) whether different employment transition types (ie, unemployment, work disability, early retirement and regular retirement) are associated with metabolic syndrome (MetS) incidence among older workers (50-64 years) and (2) whether occupational group moderates the association between employment transition type and MetS incidence. METHODS: A sample of 13 303 older Dutch workers from the Lifelines Cohort Study and Biobank was examined using longitudinal data from two comprehensive measurement waves with a mean follow-up time of 3.7 years. MetS components were based on physical measures, blood markers and medication use. Employment transitions were determined using questionnaires. Logistic regression analysis was performed to examine the association between employment transition type and MetS incidence. RESULTS: Older workers who transitioned from employment to unemployment (adjusted OR 1.39, 95% CI 1.05 to 1.82) or work disability (adjusted OR 1.89, 95% CI 1.15 to 3.10) had a significantly higher MetS incidence than the working control group. No association between early retirement or regular retirement with MetS incidence was found after adjusting for sociodemographic, educational and occupational factors. Occupational group did not moderate the association between employment transition type and MetS incidence. CONCLUSION: The results suggest that older workers who transition from employment to unemployment or work disability are at risk for developing MetS. More awareness among occupational physicians and general practitioners about MetS incidence in late working life is needed in general and more specific among older workers who transition into unemployment or work disability.

Children of the Revolution: The Impact of 1960s and 1970s Cultural Identification on Baby Boomers' Views on Retirement.

There is widespread speculation that baby boomers will make significant changes to the retirement landscape. Some attribute these changes, at least in part, to countercultural movements this generation pioneered during the sixties and seventies. However, empirical investigation into the long-term impact of countercultural identification in youth is scarce. To address this, our study examines associations between baby boomers' retirement views and identification with counterculture. Using data from 6024 pre-retired Dutch older workers, we investigate whether greater identification with counterculture is associated with more active retirement views. Our results show that greater identification with counterculture is associated with more active retirement views, even when controlling for potential confounders. Beyond highlighting the diversity of the baby boom generation, these findings support the idea that (counter)cultural identity in youth has an impact across the life course and may therefore have implications for other key questions of life's third age beyond retirement.

Does Retirement Change What Individuals Value in Life? Results From a 3-Year Panel Study.

OBJECTIVES: In previous research on retirement, what individuals value in life is often assumed to remain stable after the transition into retirement. However, retirement exposes individuals to new social settings and might thus prompt them to reevaluate their life orientations. Quantitative empirical knowledge about this process is limited, though. This study examines the impact of retirement on changes in the perceived importance of self-development, social status, societal contribution, and generativity in older adults' lives. We draw on the life-course framework to develop hypotheses about which life orientations are more likely to change after retirement and how. METHODS: We analyzed data collected in 2015 and 2018 among 5,034 Dutch individuals aged 60-65 and employed at baseline. Around half had fully retired at follow-up (either voluntarily or involuntarily), and 10% worked after retirement. RESULTS: Conditional change models reveal that voluntary full retirement was linked to statistically significant-but (very) small-decreases in the importance of self-development, social status, societal contribution, and generativity compared to continuous career work. Differences in changes of life orientations between retirement processes (i.e., postretirement work, involuntary full retirement) were also small. DISCUSSION: The findings point to relatively high levels of continuity during the transition from career employment to retirement, given the small effect sizes observed. The notion that after retirement, individuals will reevaluate what they value in life-as expected in light of the exposure-based mechanism from the life-course literature-seems to be less pronounced than initially expected.

Effects of Prevalent and Newly Diagnosed Arthritis on Changes in Perceived Physical Demands and Work Stress Among Older Workers: Results of a 3 Year Panel Study.

OBJECTIVES: Examine the effects of prevalent and newly diagnosed arthritis on changes in perceived physical demands and general work stress. METHODS: Conditional change logistic regression models examined the strength of association between arthritis and perceived (1) work stress and (2) physical demands, using data from the NIDI Pension Panel Study (n = 2099). RESULTS: Prevalent and newly diagnosed arthritis were associated with increased odds of perceived work stress and high physical demands. Manual workers with newly diagnosed arthritis exhibited a 6.73-fold (95% CI = 2.87-15.77) increased odds of physical demands. Arthritis in three body extremities was differentially associated with increased odds of work stress and physical demands in manual and non-manual workers. DISCUSSION: Prevalent and incident arthritis were associated with changes in work stress and physical demands in older workers. Policies and workplace interventions to reduce stress and physical demands and improve workability in older workers with arthritis are needed.

Employees' Emotional, Cognitive, and Behavioral Responses to Increasing Statutory Retirement Ages.

Increasing statutory retirement ages around the world are forcing employees to prolong their working lives. We study the different ways in which mid- and late-career workers respond to such changes. We distinguish between negative emotions about working longer, cognitive engagement with prolonged employment, and proactive behavior to facilitate longer working lives. We analyze data from 1,351 employees aged 40-66 from the Netherlands. We estimate a structural equation model to identify in which ways experiences of age discrimination, accessibility of accommodative HR facilities, and social norms in the workers' social networks are related to the three different types of responses. Results show that when employees do not experience age discrimination, when their employer offers easily accessible accommodative HR facilities, and the social norms support prolonged employment, employees have fewer negative emotional reactions and are more likely to behaviorally respond to facilitate longer working lives. When these contexts are misaligned, the reverse is generally found. We also find socioeconomic differences in the ways employees respond to the prospect of prolonged employment. This study shows the importance of supportive contexts at different levels-societally, in organizations, and in individuals' own lives-for policy changes such as increasing statutory retirement ages to be effective. Different responses between different socioeconomic groups may lead to growing long-term inequality.

Do older manual workers benefit in vitality after retirement? Findings from a 3-year follow-up panel study.

Vitality is the feeling of physical and mental aliveness. Vitality benefits individual, organizational and societal well-being. However, we know much less about the dynamics in the levels of vitality and its' precursors. This study investigates the effects of retirement on vitality and how this effect differs between manual and non-manual workers and by baseline levels of vitality. We used two waves of the NIDI Pension Panel Survey, collected in the Netherlands in 2015 and 2018. Data from 4156 older workers (N = 4156), of whom 1934 (46.5%) retired between waves, were analysed. Vitality is assessed in three ways, as: (1) a composite measure of vitality, and its subcomponents (2) energy and (3) fatigue. Conditional Change OLS Regression models demonstrated that retirement is associated with improved vitality and decreased fatigue. Older workers who retire from manual work at wave 1 experienced the largest gains in vitality and highest declines in fatigue at wave 2, compared to those who remained employed. Retirement was more advantageous for older workers who experienced poor vitality and high fatigue at wave 1. No such effects were found for energy. Older workers in manual work, those experiencing low vitality and high fatigue at wave 1, may benefit most from early retirement. Since opportunities for early retirement are highly restrictive, it is essential to provide these groups of workers with effective work accommodations and interventions that may not only improve their vitality and quality of working life, but also extend their participation in the labour market.

Metabolic syndrome incidence in an aging workforce: Occupational differences and the role of health behaviors.

This study investigates whether the incidence of metabolic syndrome (MetS), and its components, differs by occupational group among older workers (45-65 years) and whether health behaviors (smoking, leisure-time physical activity, diet quality, and alcohol consumption) can explain these differences. A sample of older workers (N = 34,834) from the North of the Netherlands was investigated. We analyzed data from two comprehensive measurement waves of the Lifelines Cohort Study and Biobank. MetS components were determined by physical measurements, blood markers, medication use, and self-reports. Occupational group and health behaviors were assessed by questionnaires. The association between occupational groups and MetS incidence was examined using logistic regression analysis. Health behaviors were subsequently added to the model to examine whether they can explain differences in MetS incidence between occupational groups. Low skilled white-collar (OR: 1.24; 95 % CI: 1.12, 1.37) and low skilled blue-collar (OR: 1.37; 95 % CI: 1.18, 1.59) workers had a significantly higher MetS incidence risk than high skilled white-collar workers. Similar occupational differences were observed on MetS component level. Combinations of unhealthy behaviors were more prevalent among blue-collar workers. MetS incidence in older workers differs between occupational groups and health behaviors explain a substantial part of these differences. Health promotion tailored to occupational groups may be beneficial specifically among older low skilled blue-collar workers. Research into other factors that contribute to occupational differences is needed as well as studies spanning the entire working life course.

Population and Climate Change: Consensus and Dissensus among Demographers.

What role does population play in thinking about the problem of climate change and some of its solutions? In a survey conducted between February and April 2020, we asked European demographers to state their views on the relationship between climate change and population developments, and asked them to rate their concern about climate change and other socio-demographic issues. We found that climate change is at the top of the list of demographers' concerns, but that their sense of urgency with respect to taking action to redress global warming is not matched by their belief that population policy can make a crucial difference in reducing CO2 emissions: demographers are highly divided on the question whether the global population size should be reduced to lower CO2 emissions, as well as on the question whether family planning is an effective policy instrument.

Participation in training at older ages: A European perspective on path dependency in life course trajectories.

Investments in lifelong learning may create unsatisfactory results, and this could potentially contribute to the reproduction of inequalities. We argue that the process is related to the accumulation of opportunities and barriers for participation in training, which can lock individuals in disadvantageous path-dependent trajectories. We take a longitudinal approach to analyse whether participation in training in older age is path-dependent, and whether this path dependency is related to institutional contexts. Using data from the Survey of Health, Ageing, and Retirement in Europe (SHARE), we trace individual training trajectories in the population aged 50+ in twelve European countries between 2010 and 2015 (27 370 respondents). Hierarchical Bayesian logit models serve to assess the probability of training during the sixth wave, with a lagged dependent variable as a predictor. Results suggest that training participation is path-dependent and participation in training is limited for people who have not trained previously. It is also related to macrostructural context: path dependency is lower in countries with stronger knowledge economies, stronger emphasis on education, and a proactive ageing climate. Recognising path dependency can help to improve access to training and design policies that address problems of cohesion, active ageing and adult learning.

When is fertility too low or too high? Population policy preferences of demographers around the world.

When does fertility in a country become so low or so high that a government needs to intervene? This paper sheds light on this population policy question, based on a worldwide survey among demographers. We examine how professionals' policy preferences regarding fertility levels are affected by their views on the impacts of population growth/decline and by fertility in their country of residence. The median respondent suggests intervention once fertility goes below 1.4 children or above 3.0. Three results stand out: first, demographers who are concerned about the carrying capacity of the earth are more willing to intervene than those who are less concerned. Second, the context of decision-making matters: experts living in high-fertility countries are more set on intervention than those living in low-fertility countries, but their threshold fertility level is also higher. Third, political orientation matters: right-leaning demographers are more set on government intervention than left-leaning demographers.

The Differential Impact of Retirement on Informal Caregiving, Volunteering, and Grandparenting: Results of a 3-Year Panel Study.

OBJECTIVES: Research on retirees' engagement in informal caregiving, formal volunteering, and grandparenting often views retirement as a permanent exit from the workforce. Retirement processes are, however, increasingly diverse: some retire fully while others remain in paid work after retirement from a career job. A relevant but understudied question is how these different retirement processes relate to changes in engagement in unpaid productive activities. Building on role theory, we hypothesize that full and working retirees face different consequences of retirement and, therefore, differ in engagement in unpaid productive activities. METHOD: We analyze data that were collected in 2015 and 2018 among 4,882 Dutch individuals aged 60-65 and employed at baseline. Around half had fully retired at follow-up and 10% worked after their retirement. At follow-up, more respondents are regularly volunteering (from 17% to 27%) and grandparenting (from 39% to 53%) than at baseline, while caregiving remains rather stable (from 33% to 30%). RESULTS: Conditional change models show that full retirement is associated with an increased likelihood of volunteering and grandparenting, but not caregiving. Engagement in postretirement work is related to an increased likelihood of looking after the grandchildren, but not to volunteering or providing informal care. DISCUSSION: Our findings suggest that volunteering is important for replacing weak ties after full retirement, while grandparenting might be a new, central role in retirement-irrespective of work engagement. Retirees seem to engage in unpaid productive activities for different reasons.

Chronic health conditions and work-related stress in older adults participating in the Dutch workforce.

The proportion of workers with chronic health conditions (CHCs) will increase over the years as pension reform is increasing the age of retirement in many European countries. This will increase the percentage of older adults with CHCs performing highly demanding work. This study sought to examine the association between common CHCs [cardiovascular disease (CVD), diabetes, arthritis, respiratory and sleep disorders] and three domains of work stress in older Dutch workers. This study used data from the first wave of the NIDI Pension Panel Study for working adults aged 60-65 years (n = 6793). Logistic regression models examined the strength of association between CHCs and (1) general work stress, (2) emotional, and (3) physical demands. All five CHC were independently associated with one or more domains of stress. After including all CHCs in the model, CVD, sleep disorders, and arthritis were significantly associated with general stress. Respiratory disorders, sleep disorders, and arthritis were significantly associated with physical demands. Diabetes (1.25, 95% CI 1.01-1.53), sleep disorders (1.99, 95% CI 1.72-2.31), and arthritis (1.18, 95% CI 1.06-1.31) were significantly associated with emotional demands. Our findings demonstrate that work stress is associated with prevalent CHCs, and these conditions are differentially associated with several domains of work stress in adults approaching retirement. More research is needed to understand the causal relationship between CHCs and work stress. Such research may provide insights for effective workplace and public health interventions to ensure that older workers remain physically and mentally healthy, and productive through their working years.